Steps to Health: Targeting Obesity in the Health Care Workplace

Duke University

Status: Completed

Conditions: Obese; Overweight

Treatments: Behavioral: Steps to Health; Behavioral: Steps to Health Plus!

Study type: Interventional

Funder types: Other

Identifiers

NCT01299051

R01HD06578 (Other Grant/Funding Number)

Pro00010727

Details and patient eligibility

About

The proposal of this study is to compare the effectiveness of two worksite weight management programs at Duke: Steps to Health (STH) ('usual standard of care') and the more extensive Steps to Health Plus! (STH+). We have added an additional follow-up, by invitation only, for participants in the study who agreed to be contacted for future research.

Full description

Steps to Health and Steps to Health Plus! aim to help Duke employees achieve weight loss and maintain healthy weights. We will be following participants in these programs over a two year period. These two groups will be compared with an observational comparison group of employees who meet eligibility criteria but do not take part in the randomized controlled trial. We will assess whether the two programs decrease obesity-related injuries in the workplace and estimate the net costs of the two programs relative to their effectiveness more broadly.

In the additional follow-up, we will be assessing factors that may be related to program success. This will include a survey as well as some focus group data.

Enrollment: 550 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Completion of a Health Risk Assessment
• BMI ≥ 30
• Able to read and understand study materials which are presented in English
• No plans to leave Duke in the next year
• Enrolled in one of the Duke health plans
• Not currently pregnant

Exclusion criteria

• Enrolled in the other available individual intervention programs (hypertension, cholesterol or pre-diabetes)
• Enrolling in one of the LFL weight management programs in order to qualify for bariatric surgery

Trial design

550 participants in 3 patient groups

Steps to Health

Active Comparator group

Description:

Steps to Health worksite weight management program at Duke.

Treatment:

Behavioral: Steps to Health

Steps to Health Plus!

Experimental group

Description:

Steps to Health Plus! worksite weight management program at Duke. Also known as Pathways to Change.

Treatment:

Behavioral: Steps to Health Plus!

Observational Comparison

No Intervention group

Description:

Observational comparison group consisting of employees who are eligible for the study but do not take part will also be used in analyses (approximately 1500 subjects).